Primary Pustular Gonorrhea of the Skin

Gonococcal ulceration of the tongue in the gonococcal dermatitis syndrome.

“…In a number of cases of cutaneous gonorrhoea, Neisseria gonorrhoeae has been conclusively demonstrated in cultures from blood (Bruusgaard and Thj0tta, 1925;Keil, 1938;Ackerman and others 1965;Bjornberg and Gisslen, 1965), from synovial fluid (Keil, 1938), and from skin lesions, both primary and metastatic (Bruusgaard and Thj0tta, 1925;Pugh 1935;Keil, 1938;Lowry and Franks, 1943;Margolin, 1943;Sears, 1947;Marmell, 1952;Byers and Bradley, 1953;Landergren, 1961;Fred and others, 1965). Danielsson and Michaelsson (1966) demonstrated gonococci by immunofluorescence in skin lesions from two of their three patients with the gonococcal dermatitis syndrome.…”

“…The former leads to ulceration or an abscess-like process, often with considerable tissue breakdown, and gonococci are readily demonstrable. Examples of this type are cases reported by Pugh (1935, Case 1), Lowry and Franks (1943), Sears (1947), Marmell (1952, two cases), Byers andBradley (1953), andLandergren (1961).…”

“…Lowry and Franks (1943), Sears (1947), Marmell (1952, two cases), Byers andBradley (1953), andLandergren (1961).…”

Gonococcal penile ulcer.

“…Hence, it was most probably produced by direct infection through contact with secretions from the sexual partner. Such primary cutaneous infection after sexual contact is a rare venereal disease (Byers and Bradley, 1953). The skin has long been regarded as a formidable barrier to N. gonorrhoeae.…”

Gonococcal infection of the penis.

“…We have traced twelve reports, published in English between 1924 and 1971, concerning gonococcal lesions of the penis (MiUs, 1924;Lowry and Franks, 1943;Kroll and Cohart, 1944;Harkness, 1945;Mee, 1949;Scott and Thomsen, 1950;Marmell, 1952;Byers and Bradley, 1953;Bernfeld, 1961;Landergren, 1961;Haim and Merzbach, 1970;Burgess, 1971); they comprise nineteen cases and involve twenty separate lesions or groups of lesions. The presenting appearances include pimples, blebs, masses, erosions, ulcers, and draining sinuses.…”